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目的讨论慢性肺心病医院肺部真菌感染的易患因素、临床特点、治疗及预防。方法应用回顾性调查方法对29例慢性肺心病医院肺部真菌感染的患者进行分析。结果长期疾病导致机体免疫力降低和广谱抗生素、糖皮质激素及侵入性治疗措施在慢性肺心病中的应用,发生医院肺部真菌感染的机会增加。合理治疗、加强护理是预防和控制医院肺部真菌感染的有效办法。结论医院肺部真菌感染临床表现及胸部X线表现无特异性,痰标本易受污染,应引起高度重视。
Objective To discuss the risk factors, clinical features, treatment and prevention of pulmonary fungal infection in chronic pulmonary heart disease hospital. Methods A retrospective investigation was performed on 29 cases of pulmonary fungal infection in hospital with chronic pulmonary heart disease. Results Long-term disease led to the reduction of immunity and the application of broad-spectrum antibiotics, glucocorticoids and invasive therapeutic measures in chronic pulmonary heart disease, and increased chances of hospital pulmonary fungal infection. Reasonable treatment and intensive care are effective methods to prevent and control pulmonary fungal infection in the hospital. Conclusion The clinical manifestations of pulmonary fungal infection in the hospital and chest X-ray showed no specificity, sputum specimens susceptible to pollution, should be highly valued.